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General NPI Number Information
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NPI Number | 1912213323
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Entity Type | Individual
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Provider Name | MEGHAN P RYAN M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 20 CEDAR ST SUITE 302
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5247
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Country | US
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Telephone | 347-401-3641
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Fax |
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Provider Business Mailing Address
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Address Line | 31 PONDFIELD RD W APT 59
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City | BRONXVILLE
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State | NY
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Zip | 10708-2669
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Country | US
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Telephone | 914-803-0046
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 015977
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License Number State | NY
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